{"id":12701,"date":"2023-10-18T10:48:59","date_gmt":"2023-10-18T10:48:59","guid":{"rendered":"https:\/\/occ.vsgconsulting.eu\/?p=12701"},"modified":"2023-10-18T10:49:02","modified_gmt":"2023-10-18T10:49:02","slug":"mental-health-in-the-lives-of-refugee-children","status":"publish","type":"post","link":"https:\/\/occ.vsgconsulting.eu\/fr\/mental-health-in-the-lives-of-refugee-children\/","title":{"rendered":"La sant\u00e9 mentale dans la vie des enfants r\u00e9fugi\u00e9s"},"content":{"rendered":"<p><em>\u00c9crit par Alejandra Mateo.<\/em><\/p>\n\n\n\n<p>Le nombre estim\u00e9 de r\u00e9fugi\u00e9s a doubl\u00e9 au cours des 25 derni\u00e8res ann\u00e9es : selon le HCR, ce nombre total atteignait 103 millions de personnes \u00e0 la fin de 2022. Parmi eux, l&#039;UNICEF estime que 43,3 millions d&#039;enfants ont \u00e9t\u00e9 d\u00e9plac\u00e9s de leur foyer \u00e0 la fin de l&#039;ann\u00e9e derni\u00e8re. , dont 3% non accompagn\u00e9s par des adultes soignants. Les adultes et les enfants qui arrivent en Europe en tant que demandeurs d\u2019asile portent g\u00e9n\u00e9ralement avec eux un parcours difficile et tr\u00e8s complexe en raison de l\u2019\u00e9norme quantit\u00e9 de violence dont ils ont \u00e9t\u00e9 t\u00e9moins \u2013 ou m\u00eame subis \u2013 dans leur pays d\u2019origine et au cours des routes migratoires. Certaines de ces pratiques violentes qui font partie de la vie quotidienne des r\u00e9fugi\u00e9s comprennent la pers\u00e9cution constante, les abus sexuels, les conflits intrafamiliaux, la pauvret\u00e9 et la guerre. Les recherches sur les nouveaux d\u00e9veloppements en mati\u00e8re de sant\u00e9 mentale des enfants et adolescents r\u00e9fugi\u00e9s, men\u00e9es par l&#039;Imperial College de Londres, montrent que ces adversit\u00e9s associ\u00e9es au d\u00e9placement s&#039;accompagnent de risques \u00e9lev\u00e9s de troubles psychiatriques.<\/p>\n\n\n\n<p>Il faut donc garder \u00e0 l\u2019esprit que, m\u00eame si la plupart des enfants ont subi des violences et ont quitt\u00e9 leur ville natale par peur, le contexte violent varie d\u2019un pays \u00e0 l\u2019autre. Le contexte violent d&#039;une personne afghane n&#039;a peut-\u00eatre rien \u00e0 voir avec le pass\u00e9 d&#039;une autre personne originaire du Kurdistan ou de Syrie : alors que les r\u00e9fugi\u00e9s syriens fuient la guerre et la destruction, les Afghans quittent g\u00e9n\u00e9ralement leur pays en raison du manque criant de droits humains et d&#039;opportunit\u00e9s ainsi que pauvret\u00e9 depuis le retour au pouvoir des talibans en 2021. L\u2019impact de ces \u00e9v\u00e9nements violents que les enfants subissent depuis des ann\u00e9es dans leur environnement naturel se traduit g\u00e9n\u00e9ralement par de graves probl\u00e8mes psychologiques et des probl\u00e8mes de sant\u00e9 mentale. Par exemple, comme le rapporte C\u00e9cile Dangman dans ses recherches sur la sant\u00e9 mentale des enfants r\u00e9fugi\u00e9s, des \u00e9tudes r\u00e9v\u00e8lent comment les enfants syriens ont v\u00e9cu des \u00e9v\u00e9nements traumatisants, comme les bombardements et les fusillades, qui sont \u00e9troitement li\u00e9s \u00e0 des niveaux \u00e9lev\u00e9s de SSPT (trouble de stress post-traumatique).<\/p>\n\n\n\n<p>Cependant, cette violence ne s&#039;arr\u00eate g\u00e9n\u00e9ralement pas une fois qu&#039;ils entrent en Europe : les mauvais traitements qu&#039;ils subissent souvent dans les centres d&#039;enregistrement \u2013 d\u00e9tention, vivant ill\u00e9galement et ne b\u00e9n\u00e9ficiant que d&#039;une protection temporaire \u2013, dans les camps et m\u00eame dans les \u00e9coles contribuent \u00e0 accro\u00eetre les probl\u00e8mes de sant\u00e9 mentale tels que l&#039;anxi\u00e9t\u00e9 et d\u00e9pression. Un autre facteur est li\u00e9 \u00e0 la discrimination dont ils souffrent en raison de leur appartenance ethnique ou religieuse et aux mauvaises conditions de vie (li\u00e9es au manque de services sociaux, de mobilit\u00e9 ou m\u00eame d&#039;espace confortable) dans les camps. Des analyses r\u00e9centes montrent que les demandeurs d&#039;asile et leurs r\u00e9sidences sont fr\u00e9quemment victimes d&#039;attaques en Allemagne. Les conflits, l&#039;incr\u00e9dulit\u00e9 et le manque de s\u00e9curit\u00e9 sont incessants parmi les r\u00e9fugi\u00e9s musulmans mineurs \u00e0 travers l&#039;UE et sont \u00e0 l&#039;origine de l&#039;islamophobie : cette discrimination raciale a donc un effet n\u00e9faste sur la sant\u00e9 mentale.<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p class=\"has-text-color\" style=\"color:#15d4be\">De nombreuses recherches prouvent que les parents traumatis\u00e9s doivent faire face \u00e0 une douleur psychologique si \u00e9norme qu&#039;ils ne sont pas en mesure de prendre soin de leurs enfants correctement, ce qui augmente le risque de n\u00e9gligence parentale, voire de maltraitance familiale.<\/p>\n<\/blockquote>\n\n\n\n<p>Les pathologies de sant\u00e9 mentale les plus courantes chez les enfants et adolescents r\u00e9fugi\u00e9s sont le SSPT, l\u2019attachement ins\u00e9cure et l\u2019instabilit\u00e9 \u00e9motionnelle, la d\u00e9pression et les troubles anxieux. Tout d&#039;abord, il est important de remarquer le fait que la sant\u00e9 mentale des parents est \u00e9troitement li\u00e9e \u00e0 celle de leurs enfants : de nombreuses recherches prouvent que les parents traumatis\u00e9s doivent lutter contre une douleur psychologique si \u00e9norme qu&#039;ils ne sont pas en mesure de prendre soin de leurs enfants correctement, ce qui augmente la risque de n\u00e9gligence parentale voire de maltraitance familiale. Le stress post-traumatique appara\u00eet normalement lorsqu&#039;un enfant est directement ou indirectement confront\u00e9 \u00e0 un \u00e9v\u00e9nement susceptible de provoquer sa propre mort ou celle d&#039;un proche. Les sympt\u00f4mes normaux de ce stress sont des ph\u00e9nom\u00e8nes de r\u00e9miniscence, des r\u00e9actions d&#039;\u00e9vitement, des comportements compulsifs et une tendance \u00e0 l&#039;hypervigilance. De plus, les sympt\u00f4mes les plus fr\u00e9quents de la d\u00e9pression sont la perte de vitalit\u00e9, la perte d\u2019int\u00e9r\u00eat, l\u2019apathie, la passivit\u00e9, le manque d\u2019espoir et la m\u00e9fiance envers soi-m\u00eame et envers les autres.<\/p>\n\n\n\n<p>D&#039;autres psychopathologies comprennent les tendances suicidaires, la psychose et les troubles du d\u00e9veloppement neurologique qui n\u00e9cessitent des traitements sp\u00e9cifiques \u00e0 ces troubles. La mani\u00e8re dont ces probl\u00e9matiques sont habituellement exprim\u00e9es peut varier en fonction de la r\u00e9alit\u00e9 v\u00e9cue par chaque enfant. Les enseignants et les b\u00e9n\u00e9voles de OCC doivent \u00eatre conscients des comportements individuels et des r\u00e9actions des \u00e9l\u00e8ves afin de ne pas leur causer davantage de tort. Les probl\u00e8mes de sant\u00e9 mentale mentionn\u00e9s pr\u00e9c\u00e9demment peuvent se manifester chez les enfants par le d\u00e9veloppement de nouvelles peurs, d\u2019attachements, d\u2019une faible tol\u00e9rance \u00e0 la frustration, d\u2019agressivit\u00e9 et de troubles de l\u2019alimentation et de l\u2019attachement. Afin d&#039;aider les \u00e9tudiants qui souffrent normalement de certains de ces probl\u00e8mes de sant\u00e9 mentale courants, OCC fournit \u00e0 ses b\u00e9n\u00e9voles des informations utiles sur la protection dans son manuel en ligne. Cet outil, ainsi que les multiples formations que re\u00e7oivent les b\u00e9n\u00e9voles pendant leur temps de travail, sont utiles pour ne pas exposer les enfants \u00e0 des pr\u00e9judices et \u00e0 des abus.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"512\" src=\"https:\/\/occ.vsgconsulting.eu\/wp-content\/uploads\/2023\/10\/Untitled-_Mobile-Video_-1024x512.webp\" alt=\"\" class=\"wp-image-12703\" srcset=\"https:\/\/occ.vsgconsulting.eu\/wp-content\/uploads\/2023\/10\/Untitled-_Mobile-Video_-1024x512.webp 1024w, https:\/\/occ.vsgconsulting.eu\/wp-content\/uploads\/2023\/10\/Untitled-_Mobile-Video_-300x150.webp 300w, https:\/\/occ.vsgconsulting.eu\/wp-content\/uploads\/2023\/10\/Untitled-_Mobile-Video_-768x384.webp 768w, https:\/\/occ.vsgconsulting.eu\/wp-content\/uploads\/2023\/10\/Untitled-_Mobile-Video_-1536x768.webp 1536w, https:\/\/occ.vsgconsulting.eu\/wp-content\/uploads\/2023\/10\/Untitled-_Mobile-Video_-2048x1024.webp 2048w, https:\/\/occ.vsgconsulting.eu\/wp-content\/uploads\/2023\/10\/Untitled-_Mobile-Video_-18x9.webp 18w, https:\/\/occ.vsgconsulting.eu\/wp-content\/uploads\/2023\/10\/Untitled-_Mobile-Video_-600x300.webp 600w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<div style=\"height:35px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p><strong>Qu\u2019en est-il des mineurs non accompagn\u00e9s ?<\/strong><\/p>\n\n\n\n<p>Les mineurs r\u00e9fugi\u00e9s non accompagn\u00e9s constituent un groupe important de migrants arrivant en Europe et sont reconnus comme ayant besoin d&#039;une protection sp\u00e9ciale par le HCR. Selon les donn\u00e9es collect\u00e9es par le portail EUAA express en 2019, environ 17 700 demandes de protection internationale ont \u00e9t\u00e9 d\u00e9pos\u00e9es par des mineurs non accompagn\u00e9s. La majorit\u00e9 d\u2019entre eux \u00e9taient des hommes (86 %) \u00e2g\u00e9s de 14 \u00e0 18 ans (91 %).<br>Le Centre de la Sant\u00e9 mentale Enfants-Parents (Li\u00e8ge, Belgique) estime que les mineurs non accompagn\u00e9s sont plus susceptibles de vivre des exp\u00e9riences traumatisantes et sont g\u00e9n\u00e9ralement confront\u00e9s \u00e0 plus d&#039;adversit\u00e9s au cours de leur migration que les enfants qui voyagent avec leurs parents. Ils doivent parcourir de longues distances par eux-m\u00eames et lorsqu\u2019ils arrivent dans leur pays de r\u00e9installation, ils doivent prouver qu\u2019ils avaient de \u00ab bonnes \u00bb raisons de quitter leur pays d\u2019origine. Beaucoup d\u2019entre eux souffrent de la faim, du vol et du manque d\u2019abri et d\u2019assistance juridique. C&#039;est pourquoi ils pr\u00e9sentent g\u00e9n\u00e9ralement un plus grand nombre de probl\u00e8mes psychiatriques que les enfants et adolescents qui viennent avec leur famille. La symptomatologie la plus courante chez les mineurs non accompagn\u00e9s est l\u2019\u00e9tat anxio-d\u00e9pressif et\/ou le SSPT.<\/p>\n\n\n\n<p><strong>Le r\u00f4le des gouvernements dans cette probl\u00e9matique<\/strong><\/p>\n\n\n\n<p>Tous les enfants ont le droit \u2013 internationalement reconnu \u2013 d\u2019acc\u00e9der \u00e0 un soutien et \u00e0 des services appropri\u00e9s, sans tenir compte de leur pays d\u2019origine ou des raisons qui les ont pouss\u00e9s \u00e0 entreprendre leur voyage. Comme mentionn\u00e9 pr\u00e9c\u00e9demment, les conditions de vie ont un impact \u00e9norme sur la sant\u00e9 mentale des enfants et peuvent aggraver les pathologies dont ils souffraient d\u00e9j\u00e0 avant et pendant les parcours. Par cons\u00e9quent, l&#039;am\u00e9lioration des conditions de vie dans les camps, les \u00e9coles et les institutions est cruciale afin d&#039;accro\u00eetre la r\u00e9silience des r\u00e9fugi\u00e9s et de b\u00e9n\u00e9ficier \u00e0 leur sant\u00e9 mentale. De multiples aspects tels que l\u2019environnement scolaire, l\u2019acceptation culturelle, la s\u00e9curit\u00e9, l\u2019absence de discrimination religieuse ou ethnique et la bonne qualit\u00e9 des logements sont g\u00e9n\u00e9ralement consid\u00e9r\u00e9s comme des facteurs de r\u00e9silience.<\/p>\n\n\n\n<blockquote class=\"wp-block-quote has-text-color is-layout-flow wp-block-quote-is-layout-flow\" style=\"color:#15d4be\">\n<p class=\"has-text-color\" style=\"color:#15d4be\"> Il est crucial de mettre en \u0153uvre des politiques pr\u00e9ventives en mati\u00e8re de sant\u00e9 mentale et de mettre fin aux pratiques connues pour nuire \u00e0 la sant\u00e9 et porter atteinte aux droits humains.<\/p>\n<cite>Matthieu Hodes, psychiatre<\/cite><\/blockquote>\n\n\n\n<p>La fonction psychologique des enfants s&#039;am\u00e9liore souvent gr\u00e2ce \u00e0 une attitude positive envers leur pays d&#039;accueil. L&#039;adaptation \u00e0 un nouveau pays et \u00e0 sa culture joue un r\u00f4le tr\u00e8s important dans cette probl\u00e9matique : Apprendre \u00e0 s&#039;adapter \u00e0 un endroit tr\u00e8s diff\u00e9rent implique un processus d&#039;acquisition de la connaissance de la langue, des relations sociales et de nombreux facteurs culturels qui peuvent varier selon le pays d&#039;origine. . Cependant, comme le dit le psychiatre Matthew Hodes, il est crucial de mettre en \u0153uvre des politiques pr\u00e9ventives en mati\u00e8re de sant\u00e9 mentale et de mettre un terme aux pratiques connues pour nuire \u00e0 la sant\u00e9 et porter atteinte aux droits de l&#039;homme. De m\u00eame, le Centre de la Sant\u00e9 mentale Enfants-Parents affirme qu&#039;il est essentiel de faire preuve d&#039;une r\u00e9ponse institutionnelle bas\u00e9e sur l&#039;\u00e9coute active. De cette fa\u00e7on, les enfants peuvent d\u00e9velopper un processus de m\u00e9tabolisation des exp\u00e9riences v\u00e9cues au cours du voyage, ce qui leur permet ainsi de renforcer leur estime de soi et de d\u00e9velopper un sentiment d&#039;identit\u00e9, ainsi que des strat\u00e9gies d&#039;adaptation croissantes.<\/p>\n\n\n\n<p>Ce qui est plus que clair, c&#039;est qu&#039;en raison de leur vuln\u00e9rabilit\u00e9 accrue, les enfants r\u00e9fugi\u00e9s devraient \u00eatre une priorit\u00e9 pour les syst\u00e8mes de sant\u00e9 publique du pays d&#039;accueil. C\u2019est pour cette raison que l\u2019int\u00e9gration est essentielle pour y parvenir. Les pays devraient faciliter l\u2019acc\u00e8s \u2013 sans aucune sorte de fronti\u00e8re ni de discrimination \u2013 aux services de sant\u00e9, mais \u00e9galement \u00e9tablir des plans de pr\u00e9vention \u00e0 l\u2019int\u00e9rieur et \u00e0 l\u2019ext\u00e9rieur des \u00e9coles. Comme nous l&#039;avons d\u00e9j\u00e0 indiqu\u00e9, les centres \u00e9ducatifs qui aident les enfants dans leur processus d&#039;adaptation constituent g\u00e9n\u00e9ralement le plus grand facteur de r\u00e9silience pour accro\u00eetre leur sentiment d&#039;identit\u00e9 et d&#039;inclusion dans une nouvelle soci\u00e9t\u00e9.<\/p>","protected":false},"excerpt":{"rendered":"<p>Les r\u00e9fugi\u00e9s sont souvent victimes de mauvais traitements dans les centres d&#039;enregistrement, les camps et m\u00eame dans les \u00e9coles, ce qui contribue \u00e0 accro\u00eetre les probl\u00e8mes de sant\u00e9 mentale tels que l&#039;anxi\u00e9t\u00e9 et la d\u00e9pression.<\/p>","protected":false},"author":1,"featured_media":12702,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_themeisle_gutenberg_block_has_review":false,"footnotes":""},"categories":[75],"tags":[164,126],"class_list":["post-12701","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog","tag-greece","tag-refugees","latest_post"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - 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